AC - Antenatal Care Continuing Medical Education Activities...

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Antenatal Care Continuing Medical Education Activities for Non-specialists Dr TC Pun 27/2/2002
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Antenatal Care Introduction The first visit Subsequent visits Screening tests Prenatal diagnosis and ultrasonogram General advice Summary
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Introduction Objectives education and information screening early identification of complications treatment of complications
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Introduction Patterns of routine antenatal care for low-risk pregnancy assess the effects of antenatal care programmes for low-risk women three trials, all conducted in developed countries, evaluating the type of care provider Cochrane Database Syst Rev 2001;4:CD000934
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Introduction Giles 1992 – midwives versus obstetricians, 89 women, cost savings Tucker 1996 – general practitioners and midwives versus shared care, 1765 women, clinical effectiveness and satisfaction Turnbull 1996 – midwives versus shared care, 1299 women, clinical effectiveness and satisfaction
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Introduction no difference for several outcome variables including caesarean section, anaemia, urinary tract infections and postpartum haemorrhage there is a trend to lower rate of preterm delivery, antepartum haemorrhage, lower perinatal mortality lack of recognition of fetal malpresentations tended to be higher in this group Cochrane Database Syst Rev 2001;4:CD000934
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Introduction the midwife/general practitioner managed care group had a statistically significant lower rate of pregnancy induced hypertension and pre- eclampsia overall, it appears that satisfaction with midwife/general practitioner managed care was similar or higher (in some variables) Cochrane Database Syst Rev 2001;4:CD000934
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Introduction the midwife/general practitioner managed care group had a statistically significant lower rate of pregnancy induced hypertension and pre- eclampsia overall, it appears that satisfaction with midwife/general practitioner managed care was similar or higher (in some variables) Cochrane Database Syst Rev 2001;4:CD000934
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Introduction Shared antenatal care between Family Health Services and Hospital(Consultant) Services for Low Risk Women decrease in workload to hospital clinics diagnosis of IUGR, malpresentation, pregnancy induced hypertension improved number of NST, hospital admission, duration of stay reduced Chan FY et al 1993 Asia-Oceania J Obstet Gynaecol 19(3):291-298
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Antenatal Care Introduction The first visit Subsequent visits Screening tests Prenatal diagnosis and ultrasonogram General advice Summary
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The first visit timing history physical examination risk determination
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The first visit Timing pregnancy test positive within a few days after missed period early pregnancy complications like miscarriages, ectopic pregnancy may be first diagnosed in the clinic
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Guidance on Ultrasound Procedures in Early Pregnancy Royal College of Radiologists, Royal College of Obstetricians and Gynaecologists 1995
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What should be reported
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This note was uploaded on 12/24/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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AC - Antenatal Care Continuing Medical Education Activities...

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